Arvidsson Anna, Johnsdotter Sara, Essén Birgitta
Department of Women's and Children's Health, International Maternal and Child Health, Uppsala University, Uppsala University Hospital, Uppsala, Sweden.
Department of Health and Welfare Studies, Malmö University, Malmö, Sweden.
PLoS One. 2015 May 8;10(5):e0126518. doi: 10.1371/journal.pone.0126518. eCollection 2015.
Transnational surrogacy, when people travel abroad for reproduction with the help of a surrogate mother, is a heavily debated phenomenon. One of the most salient discourses on surrogacy is the one affirming that Westerners, in their quest for having a child, exploit poor women in countries such as India. As surrogacy within the Swedish health care system is not permitted, Swedish commissioning parents have used transnational surrogacy, and the majority has turned to India. This interview study aimed to explore how commissioning parents negotiate the present discourses on surrogacy. Findings from the study suggest that the commissioning parents' views on using surrogacy are influenced by competing discourses on surrogacy represented by media and surrogacy agencies. The use of this reproductive method resulted, then, in some ambiguity. Although commissioning parents defy the exploitation discourse by referring to what they have learnt about the surrogate mother's life situation and by pointing at the significant benefits for her, they still had a request for regulation of surrogacy in Sweden, to better protect all parties involved. This study, then, gives a complex view on surrogacy, where the commissioning parents simultaneously argue against the exploitation discourse but at the same time are uncertain if the surrogate mothers are well protected in the surrogacy arrangements. Their responses to the situation endorse the need for regulation both in Sweden and India.
跨国代孕,即人们在代孕母亲的帮助下出国进行生育,是一个备受争议的现象。关于代孕最突出的论述之一是,西方人在寻求生育孩子时剥削印度等国的贫困妇女。由于瑞典医疗保健系统内不允许代孕,瑞典的委托父母采用了跨国代孕,而且大多数人选择了印度。这项访谈研究旨在探讨委托父母如何应对当前关于代孕的各种论述。该研究的结果表明,委托父母对使用代孕的看法受到媒体和代孕机构所代表的关于代孕的相互竞争的论述的影响。那么,这种生殖方式的使用就产生了一些模糊性。尽管委托父母通过提及他们所了解的代孕母亲的生活状况以及指出代孕对她的重大益处来反驳剥削性论述,但他们仍要求瑞典对代孕进行监管,以更好地保护所有相关方。因此,这项研究对代孕给出了一个复杂的观点,委托父母一方面反对剥削性论述,但同时又不确定代孕安排中代孕母亲是否得到了妥善保护。他们对这种情况的回应支持了瑞典和印度都需要进行监管的观点。